DR. MATTHEW GREGORY HEAVNER (MD) – Urology Physician, NPI 1285096636

DR. MATTHEW GREGORY HEAVNER (MD) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in UROLOGY. They hold the professional credentials MD. They hold a License No. MT211746 (PA). The NPI Number for DR. MATTHEW GREGORY HEAVNER (MD) is 1285096636

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. MATTHEW GREGORY HEAVNER (MD)
NPI
1285096636
Phone
(215) 662-6156
Address
3400 Civic Center Blvd
Enumeration Date
24 March 2016
Last Update Date
5 August 2021

Doctor Profile

Medical School Name
WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2405444070
Graduation Year
2016 (10 years ago)
PAC ID
1355632696
Group Practice PAC ID
9032178918
Professional Enrollment ID
I20210722001681
Address ID
MD207162656BO4201XDRXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

620 UROLOGY in PA

Provider Addresses for DR. MATTHEW GREGORY HEAVNER (MD)

  • 3400 Civic Center Blvd

    Urology, 3rd Floor, PCAM West

    Philadelphia, PA 191045127

    Phone: (215) 662-6156

    Fax: (215) 662-7413

    Type: Location

  • 600 RIDGELY AVE STE 222

    ANNAPOLIS, MD 214011073

    Phone: (410) 266-8049

    Fax: (410) 266-8054

    Type: Mailing

  • Scheie Eye Institute, 3400, Civic Center Boulevard, University City, Philadelphia, Philadelphia County, Pennsylvania, 19104, United States

    UROLOGY, 3RD FLOOR, PCAM WEST

    PHILADELPHIA, PA 191045127

    Phone: (215) 662-6156

    Fax: (215) 662-7413

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 55 Open Payments records for all available years, with a total value of $2,035.

Total Amount is formed as General ($2,035) + Research ($0) + Ownership ($0) = $2,035.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Boston Scientific Corporation ($542).

Total Amount

$2,035

General + Research + Ownership

Payments

55

Total payment records

General Amount

$2,035

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-07-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210722001500IUrologyMDTBD
I20210722001681IUrologyDCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J9030Bcg live intravesical instillation, 1 mg1,75030$0
87798Detection test by nucleic acid for organism, amplified probe technique1,664125$0
81002Urinalysis, manual test677527$0
51798Ultrasound measurement of bladder capacity after voiding497397$0
99213Established patient office or other outpatient visit, 20-29 minutes397327$0
View full utilization report →

Insurance plans in this area (ZIP 19104)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9032178918View full group profile
NameSpecialtyState
U R O L O G YMD
Diagnostic RadiologyNY
U R O L O G YMD
U R O L O G YMD
Nurse PractitionerMD
U R O L O G YMD
U R O L O G YMD
U R O L O G YMD
U R O L O G YMD
U R O L O G YMD

Reviews

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Frequently asked questions

Can I use this page to confirm DR. MATTHEW GREGORY HEAVNER (MD)'s NPI?
Yes. DR. MATTHEW GREGORY HEAVNER (MD) is listed with NPI 1285096636 in the public NPI dataset.
Is DR. MATTHEW GREGORY HEAVNER (MD) listed as active for patients and plans?
The listing shows DR. MATTHEW GREGORY HEAVNER (MD) as active in the NPI system.
What is DR. MATTHEW GREGORY HEAVNER (MD)'s primary classification?
Urology Physician is the headline specialty for DR. MATTHEW GREGORY HEAVNER (MD) here. Clinical services aligned with this taxonomy classification.
Where is DR. MATTHEW GREGORY HEAVNER (MD) based?
DR. MATTHEW GREGORY HEAVNER (MD) is tied to Philadelphia, Pennsylvania in the data we show; additional addresses may exist on the full record.
Why does DR. MATTHEW GREGORY HEAVNER (MD) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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